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Pharm Test 3 Pain Dr
Pharm Test 3 Pain Drugs
Question | Answer: NTK |
---|---|
Aspirin | Analgesic, antipyretic, anti-inflammatory |
Aspirin | not used for children <12 |
Aspirin | decrease platelt aggregation |
Aspirin | preventative measure against TIA's, MI's or other thromboembolotic episodes |
Aspirin | inhibits cyclooxygenase Cox1 & Cox2 |
Aspirin | gastric irritation is a common S/E |
Cox 1 | protects stomach linning & regulates blood platelets, promoting blood clotting |
Cox 2 | triggers pain & inflammation @ injured site |
Reye Syndrome | reason don't not give Children under 12 ASA |
Nonnarcotic Analgesics | Aspirin, Acetaminophen, Ibuprohen, Naproxen |
Nonnaracotic Analgesics | Control Pain: HA, Inflammation, Abrasions, Muscle aches, Arthrits Pain |
M/M pain of skeletal muscles & joints | non-narcotic analgesics |
Moderate to severe pain in smooth muscle, organ, bones | narcotic analgesic |
Ibuprofen | inhibits Cox 1 & Cox 2 |
Ibuprofen | Gastric bleeding can still occur |
Acteaminophen | Non-narcotic, but not an NASID |
Acetaminophen | No anti-inflammatory properties |
Acetaminophen | Relieves pain, discomfort & Fever |
Acetaminophen | little or no gastric distress |
Acetaminophen | does not interfere with platelet aggregation |
Acetaminophen interactions | overdose toxic to liver cells |
Acetaminophen contradications | Not given to people w/ renal or liver disease or alcholics |
Antirheumatic Drugs (DMARD's) | used when NSAID's do not controll immunemadiated aethritic disease |
DMARD's | more toxic may be prescribed to alter the disease process or alleviate symptoms |
Gold Salts | most frequently used DMARD |
Gold Salts (chrysotherapy) uses | arrests progression and prevents deformities of RA |
Gold Salts not used | Not used in early or late stages of RA |
Gold Salts Admin | IM: 2 month for Results; Oral 3-6 months for results - erratic absorption, but better long term therapy |
Gold Salts NTK | check for blood dyscrasias, increase protein bound, half life 26-120 days |
Gold Salts S/E | Dermatitis, hives, alopecia, stomatitis, hepatis, colotos, pharyngitis, anaphylactic shock |
Gold Salt contraindicated for: | pt. w/ eczema, colitis, hemorrhagic conditions, systemic lupus |
Gold Salts teaching | good dental hygine, adhere to lab blood schdedule, report early s/s of toxicity, use sunblock, eat diet high in fiber or use anti-diarrheal drugs |
Antigout | "disease of Kings" |
Antigout disease | Inflammatory disease |
Antigout site | most common site is the joint of the big toe |
Antigout appears | bumps or "tophi" |
Antigout | uric acid metabloism disorder |
Antigout complications | urinary calculi & neuropathy |
Antigout teach pt | should avoid foods high in purine |